Recreation Center - General use Waiver

Participant Name

First NameLast Name

Date of Birth

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Information

Full NamePhone Number

Phone Number

Please enter a valid phone number.

Email

example@example.com

Recreation Center Code of Conduct
To help maintain a safe, clean, and family-friendly environment, all guests are expected to follow these rules:
1. Respect Others and the Facility
Treat fellow guests, staff, and the facility with courtesy and respect. Harassment, intimidation, unwanted physical contact, abusive language, or threatening behavior will not be tolerated.
2. Use Equipment Safely
Use all equipment as intended and follow posted instructions or staff guidance to ensure safety.
3. Report Hazards or Injuries
Immediately report any injuries, unsafe conditions, or damaged equipment to staff.
4. Youth Supervision & Waivers
Youth ages 11 and up may use the facility unsupervised during designated youth programs.
Children 10 and under must be accompanied by someone age 16 or older.
All youth under 18 must have a parent or guardian-signed waiver on file.
5. Footwear Policy
Clean, non-marking athletic shoes are required in gymnasiums, courts, fitness areas, and activity rooms.
No cleats, spikes, or turf shoes are allowed inside the facility, as they pose safety risks and damage flooring.
6. No Smoking or Vaping
Smoking, vaping, or use of e-cigarettes is strictly prohibited anywhere in the facility.
7. Food & Drink Policy
Only water is permitted in gym areas. Please keep all other food and beverages in designated areas.

RELEASE OF LIABILITY: I understand there are risks inherent in this activity, including but not limited to, the risk of serious physical injury or death which may arise from my or my child(ren)'s participation in this activity.  Recognizing these risks and in consideration of PenMet Parks’ allowing me or my child(ren) to participate in this activity and/or use PenMet Parks’ facilities I, on behalf of myself and/or on behalf of the above-named child(ren), assume all risk of injury, damage and harm to me or the child(ren) which may arise from participation in activities or use of facilities.  I further agree, on behalf of myself and the above-named child(ren), to release and hold harmless PenMet Parks, its officials, employees, contractors, and associated agents, and waive any claim for damages against them for any personal injury, death or harm arising out of my or the child(ren)'s voluntary participation in this activity.  I grant my full and voluntary consent for the above-named child(ren) to participate in the activity described above and authorize the PenMet Parks and its employees or agents to provide emergency treatment for me, or my child(ren) on my behalf.

Signature

PenMet Parks Recreation Center